STEVEN R DIETERICH MD
NPI 1063499127
Family Medicine in East Granby, CT

Active since December 29, 2005
13 CHURCH RD, EAST GRANBY, CT 06026(860) 653-4526(860) 653-5209 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Steven R Dieterich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEVEN R DIETERICH MD (NPI 1063499127) is an individual family medicine provider in East Granby, Connecticut, licensed in Connecticut (018693) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1063499127
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEVEN R DIETERICHCredential: MD
Location Address13 CHURCH RDEast Granby, CT 06026-0518
Mailing AddressPo Box 518, 13 Church RdEast Granby, CT 06026-0518 · (860) 653-4526 · Fax (860) 653-5209
Fax(860) 653-5209
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateJanuary 18, 2011
NPI 1063499127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CT · 018693
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13 CHURCH RD, East Granby, CT 06026

Other Identifiers 10

OtherHAP210CT · Oxford
Medicare UPINB39573
Other010018693CT01CT · Bcbs
Other2085328005CT · Cigna
Other0104402CT · United
Medicare ID-Type Unspecified080000264CT
Other018693CT · Ct
Other0P0372CT · Healthnet
Other140065CT · Aetna
Medicaid001186931CT

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
13 CHURCH RD
EAST GRANBY, CT 06026
Nurse Practitioner (Family)
13 CHURCH RD
EAST GRANBY, CT 06026
Family Medicine
13 CHURCH RD
EAST GRANBY, CT 06026
Family Medicine
13 CHURCH RD
EAST GRANBY, CT 06026
Physician Assistant
13 CHURCH RD
EAST GRANBY, CT 06026
Nurse Practitioner (Family)
13 CHURCH RD
EAST GRANBY, CT 06026
Family Medicine
13 CHURCH RD
EAST GRANBY, CT 06026
Family Medicine
13 CHURCH RD
EAST GRANBY, CT 06026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven Dieterich's NPI number?

The NPI number for Steven Dieterich is 1063499127. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Steven Dieterich located?

Steven Dieterich practices at 13 Church Rd, East Granby, CT 06026. The listed phone number is (860) 653-4526.

What is Steven Dieterich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Steven Dieterich was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.